Mcmullan, James L

Mcmullan, James L is an individual health care provider with primary practice located at 8057 Spyglass Hill Rd Suite 102, Melbourne FL 32940-8565. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcmullan, James L can be contacted via phone (321) 435-3500.

Contact Information

Primary practice address
8057 Spyglass Hill Rd Suite 102 Melbourne FL 32940-8565
Phone: (321) 435-3500
Fax: (321) 435-3501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100940 Florida

Profile Details

NPI number 1366407348
LBN Legal business name Mcmullan, James L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366407348 NPPES
Florida MEDICAID 290844100

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